Organization
DILLON MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY FREEMAN CORNETTE DURABLE MEDICAL EQUI (PRESIDENT OWNER)
(270) 522-7030
Entity
Organization
Contact information
Practice address
1173 HARDY ROAD, CADIZ, KY 42211-7689
(270) 522-7030
(270) 522-8072
Mailing address
1173 HARDY ROAD, CADIZ, KY 42211-7689
(270) 522-7030
(270) 522-8072
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452156
—
TN
01
—
3047070
BLUE CROSS BLUE SHIELD
TN
Enumeration date
03/08/2007
Last updated
08/22/2020
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